Development and implementation of telehealth for peritoneal dialysis and kidney transplant patients monitoring during the COVID-19 pandemicAbstract
The coronavirus (Sars-Cov-2) pandemic raised the need for social distance to reduce its spread. Chronic kidney disease patients on renal replacement therapy are especially susceptible to developing the most severe form of COVID-19, and, at the same time, require regular medical and multidisciplinary periodic follow-up. On an emergency basis, Brazil’s professional regulatory bodies authorized telehealth assistance, which made possible to migrate from face-to-face to distance appointments in health services across the country, when necessary. This article’s main objective is to describe the process of developing and implementing telehealth for monitoring renal transplant patients and patients on peritoneal dialysis during the COVID-19 pandemic.
Keywords:
Renal Replacement Therapy; Teleorientation; Remote Consultation; Coronavirus Infections; Peritoneal Dialysis; Kidney Transplantation
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Legend: Provision of IP extensions (digital telephone system that uses the internet protocol) specific to provide care with all the features of integral recording of calls by means of a digital telephone exchange (Digital PABX). For professionals who were doing the work remotely, extensions were set up directly on the personal computer, using a multimedia softphone application. In order for this professional to access the IP telephony resource, a virtual private network connecting to the digital PABX Server, called VPN or “Virtual Private Network”, was set up. Access to the Clinical Hospital System (Tasy) was also made via VPN connection for professionals who were working remotely. In the Hospital Clinical System, classifications were created in the diaries to identify the phone calls.
